@ JMIR出版公司基于技术的干预对癌症患者疼痛、抑郁和生活质量的影响卡塔尔世界杯8强波胆分析:随机对照试验系统回顾%A Agboola,Stephen O %A Ju,Woong %A Elfiky,Aymen %A Kvedar,Joseph C %A Jethwani,Kamal %+ Partners互联健康医疗中心，新夏敦街25号，套房300，马萨诸塞州波士顿，02114，美国，1 617 643 0291，sagboola@partners.org %K远程健康%K连接健康%K癌症%K电话%K疼痛%K抑郁%K生活质量%K系统综述%K随机对照试验%D 2015 %7 13.03.2015 %9综述%J J医学互联网Res %G英语%X背景:癌症负担正在增加;对未来20年的预测显示，每年的癌症病例将从2012年的1400万上升到2200万。然而，在21世纪，由于新的治疗方案的可用性，癌症患者的寿命更长，这促使人们越来越关注维持患者与健康相关的生活质量。远程医疗越来越多地用于与传统临床环境之外的患者进行联系，早期的工作已经表明它在提高生活质量和癌症护理中的其他临床结果方面的重要性。目的:本研究的目的是通过对临床试验的系统回顾，系统评估支持性远程医疗干预对癌症患者疼痛、抑郁和生活质量的影响的文献。方法:我们于2013年7月检索PubMed、EMBASE、谷歌Scholar、CINAHL和PsycINFO，并于2015年1月再次更新文献检索，以评估以疼痛、抑郁和生活质量为主要结果的远程医疗干预在癌症护理中的效果的前瞻性随机试验。其中两位作者根据预先确定的选择标准，独立地回顾并提取了符合条件的随机对照试验的数据。采用Cochrane协作组偏倚风险工具评估研究的方法学质量。 Results: Of the 4929 articles retrieved from databases and relevant bibliographies, a total of 20 RCTs were included in the final review. The studies were largely heterogeneous in the type and duration of the intervention as well as in outcome assessments. A majority of the studies were telephone-based interventions that remotely connected patients with their health care provider or health coach. The intervention times ranged from 1 week to 12 months. In general, most of the studies had low risk of bias across the domains of the Cochrane Collaboration risk of bias tool, but most of the studies had insufficient information about the allocation concealment domain. Two of the three studies focused on pain control reported significant effects of the intervention; four of the nine studies focus on depression reported significant effects, while only the studies that were focused on quality of life reported significant effects. Conclusions: This systematic review demonstrates the potential of telehealth interventions in improving outcomes in cancer care. However, more high-quality large-sized trials are needed to demonstrate cogent evidence of its effectiveness. %M 25793945 %R 10.2196/jmir.4009 %U //www.mybigtv.com/2015/3/e65/ %U https://doi.org/10.2196/jmir.4009 %U http://www.ncbi.nlm.nih.gov/pubmed/25793945